Efficacy of Microvascular Decompression for Moderate to Severe Hemifacial Spasm and the Influencing Factors of Delayed Resolution

Kun WANG; Jun PU; Dongbo LI; Tao YANG

doi:10.12259/j.issn.2095-610X.S20241008

Volume 45 Issue 10

Oct. 2024

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Kun WANG, Jun PU, Dongbo LI, Tao YANG. Efficacy of Microvascular Decompression for Moderate to Severe Hemifacial Spasm and the Influencing Factors of Delayed Resolution[J]. Journal of Kunming Medical University, 2024, 45(10): 50-54. doi: 10.12259/j.issn.2095-610X.S20241008

Citation:

Kun WANG, Jun PU, Dongbo LI, Tao YANG. Efficacy of Microvascular Decompression for Moderate to Severe Hemifacial Spasm and the Influencing Factors of Delayed Resolution[J]. Journal of Kunming Medical University, 2024, 45(10): 50-54. doi: 10.12259/j.issn.2095-610X.S20241008

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Efficacy of Microvascular Decompression for Moderate to Severe Hemifacial Spasm and the Influencing Factors of Delayed Resolution

doi: 10.12259/j.issn.2095-610X.S20241008

Kun WANG¹,
Jun PU²,
Dongbo LI¹,
Tao YANG^{1
,
,}

1.
Dept. of Neurosurgery，Ankang Central Hospital，Ankang Shaanxi 725000
2.
Dept. of Neurosurgery，The 2nd Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650101，China

Received Date: 2024-06-10
Available Online: 2024-10-14
Publish Date: 2024-10-31

Abstract

Abstract

Objective To investigate the clinical efficacy of microvascular decompression for moderate-to-severe hemifacial spasm and the influencing factors of delayed resolution. Methods Sixty patients with moderate-to-severe hemifacial spasm who underwent microvascular decompression at the Neurosurgery Department of Ankang Central hospital from May 2018 to May 2023 were selected. Then the clinical efficacy and postoperative complications were were studied, and they were categorized into an immediate cure group and a delayed cure group based on clinical outcomes. Multivariate logistic regression analysis was used to determine the factors affecting delayed recovery in patients. Results Among the 60 patients, 47 were cured immediately, while 13 were cured later. There were 2 cases of infection, 2 cases of hearing impairment, 1 case of low cerebrospinal fluid pressure syndrome, and 2 cases of facial paralysis after the procedure, resulting in a complication rate of 11.67%. There were statistically significant differences （P < 0.05） in the duration of illness, long-term use of carbamazepine, severity of symptoms, injections of Botox, and degree of vascular compression between the immediate cure group and the delayed cure group. Logistic regression analysis indicated that severity of symptoms, duration of illness, and degree of vascular compression are factors influencing delayed cure. Conclusion The course of the disease, severity of symptoms, and degree of intraoperative vascular compression are influencing factors for delayed recovery in patients with moderate-to-severe hemifacial spasm undergoing microvascular decompression of the facial nerve. Clinically, it's important to closely monitor these indicators and take appropriate measures to improve the prognosis and quality of life for patients.
- Microvascular decompression,
- Hemifacial spasm,
- Clinical effect,
- Delayed resolution,
- Influencing factor

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References(15)

References

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